Risk factors for discontinuation of exclusive breast feeding within 1month: a retrospective cohort study in Japan

Abstract

Background While breastfeeding provides benefits for infants and the mother, many women either do not breastfeed or terminate breastfeeding earlier than recommended. The aim of this analysis was to identify factors associated with early discontinuation of breastfeeding in Japanese women. Methods This study used data from medical records of women delivering a singleton live birth between March 2017 and August 2019 in Iwase General Hospital, Fukushima Prefecture, Japan to assess cessation of breastfeeding by the 1-month postpartum appointment. Demographic (age at birth, and employment status), medical (parity, and physical and mental condition of the mother; and infant medical factors, such as sex, Apgar score, and jaundice, among other), and family factors (husband/partner, family members living at the same house, among others) in 734 women who had initiated breastfeeding during their delivery hospital stay were examined, and multiple logistic regression was used to determine significant predictors of early cessation of exclusive breastfeeding. Results Bivariate analysis revealed that women who were primipara, unmarried, exposed to secondhand smoke, and employed; those who smoked before pregnancy; and those who had asthma were more likely to discontinue exclusive breastfeeding than other women. Infant factors associated with discontinuation were lower birthweight, earlier gestational age, neonatal intensive care unit admission, treatment for jaundice, or lower weight gain. Multivariable analysis revealed that primiparity, passive smoking before pregnancy, maternal employment, and neonatal jaundice therapy were associated with discontinuation of breastfeeding. Conclusions In particular, women whose partners smoked before pregnancy may need to be targeted for additional support for breastfeeding.

Analysis of the nutritional status in the Palestinian territory: a review study

“…These factors were mainly addressed in studies conducted in the West Bank and Jerusalem, particularly among employed mothers. These findings are consistent with global trends and with observations from various other studies ( 133 – 135 ). Previous studies have shown that early nutrition and breastfeeding might play a significant role in maintaining immunity, preventing non-communicable diseases, and promoting cognitive and physical growth ( 136 , 137 ).…”

Nutrition Situation Analysis in the UAE: A Review Study

“…Exclusive breastfeeding in the UAE was discussed in two studies [ 38 , 39 ], and both indicated a lack of adherence to WHO recommendations. Factors contributing to low or no adherence to exclusive breastfeeding, including duration of breastfeeding, the skin-to-skin period, being underweight, the last infant’s sex, having a maid at home, the number of children, the living place, and working mothers, were found in other global studies [ 88 , 89 , 90 ]. Studies showed that early nutrition might be an important factor in improving physical growth and cognitive development, enhancing immunity, and preventing non-communicable diseases [ 91 , 92 ].…”

Effectiveness of progressive muscle relaxation compared to BL 23 and GV 3 point acupressure therapy in reducing back pain intensity in third trimester pregnant women

“…3,26 Pregnant women under the age of 20 are at risk of miscarriage, premature birth, anaemia in pregnancy, congenital abnormalities, easy infection, poisoning and death. 27,28 Ages over 35 years are at risk of complications during pregnancy. The risk of pregnancy complications over the age of 35, where at that age there are changes in the tissues of the uterus and the birth canal is no longer flexible, which can result in high blood pressure, excess weight, diabetes and labour that is more difficult and prolonged are problems that can occur.…”